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Contact Information

HARRIS TEETER, LLC
8200 CRESTWOOD HEIGHTS DRIVE
MCLEAN, VA22102
 Phone: 703-448-0679
 Fax: 703-448-0728
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HARRIS TEETER, LLC

NPI # 1568617173
LBN Legal business name HARRIS TEETER, LLC
Authorized official ROSE WARD - (MANAGER, 3RD PHARMACY ADMIN/AR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/24/2008
Last updated 03/07/2023 - About 3 years ago
Identifiers
VA License # 0201004264
VA Medicaid 1568617173
Other 4841234 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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